Where are you



SHARE!COLLABORATIVE HOUSINGAn easily replicable, cost-effective Solution to Homelessness for Mental Health Consumers For immediate move-in call 1-877-SHARE-49A Brief Description of SHARE! Collaborative HousingSHARE! Collaborative Housing is an innovative, evidence-based program in Los Angeles County that permanently houses anyone with SSI within hours of their first desire to get off the street. SHARE! uses existing single-family houses in middle class neighborhoods. Disabled residents pay a portion of their benefit checks or other income for a furnished house, including utilities, a fully-equipped kitchen and laundry, as well as Cable TV and computers with high-speed Internet. Unlike other Permanent Supportive Housing models, SHARE! Collaborative Housing does not depend on Section 8, vouchers or other government housing programs to pay for the housing units. There are no brick and mortar costs. The demand for rentable single-family houses in Los Angeles is low, compared to apartments, so houses are easily recruited to SHARE!’s program ensuring immediate placement throughout the County. SHARE! Collaborative Housing does not require rental subsidies or move-in costs. SHARE!’s program is designed to address the most common barriers to housing, by not requiring security deposits/last month’s rent, nor disqualifying people for poor credit; history of evictions; criminal history; current or past substance abuse; untreated serious mental health issues; or behavioral issues. SHARE! Collaborative Housing is a no-fail program: if someone is asked to move out of a house or chooses to leave for any reason, they are immediately placed in a different house, maintaining their housing as they make a fresh start. When it is safe to fail, people try new behavior and develop successful strategies for living.SHARE! Collaborative Housing was developed as community stakeholder effort to house the estimated 25,000 people homeless disabled with mental health issues in Los Angeles. Following the planning process in the movie Apollo 13, the stakeholders, including mental health professionals, formerly homeless and currently homeless individuals, family members, academics, community members and others, looked only at existing resources available in the community to end homelessness among mental health consumers. Within three months, the stakeholders had identified: a) the most frequent barriers to housing, b) many community resources that had rarely been used to overcome homelessness, and c) evidence-based practices that could support the endeavor. Mental health consumers on SSI had enough income to support themselves in housing in Los Angeles, when the housing was houses rather than apartments. Large single-family houses were well within the reach of those receiving SSI when they shared the house as a family. The academics on the committee discovered that housing two people per bedroom actually improved outcomes in studies done in other states. This practice also reduced the cost of housing making SHARE! Collaborative Housing affordable. Free self-help support groups in the community provided social support, listening skills, problem solving skills and 24/7 crisis response to their members. The faith community was available for miscellaneous needs as they arose. The first SHARE! Collaborative House opened for men on December 17, 2005 in Carson, CA. Today there are nearly 100 houses in the program including the original house.Over the years, SHARE! has learned how to make SHARE! Collaborative Housing even more successful. Three-way conferencing homeless people on their first phone call to SHARE! with a homeowner who has a vacancy proved to be a winning strategy. The owners often drive to pick up the new resident and their belongings, so they can move in immediately. The addition of a Peer Bridger—a person with lived experience and sustained recovery from mental health, trauma, homelessness and/or substance abuse— funded by the MHSA Housing Trust Fund beginning in 2010 gave qualifying residents additional support which led to improved outcomes such as 26 percent of residents with SMI becoming employed within one year, and better retention in the first few months of housing. 43586405440680Cost-effectivePermanent Supportive Housing for the price of Supportive ServicesTurns disabled people into taxpayersAdds new affordable housing without Section 8 or vouchersReduces need for shelters and transitional housingSlashes public cost of services for each person in SHARE! Collaborative Housing00Cost-effectivePermanent Supportive Housing for the price of Supportive ServicesTurns disabled people into taxpayersAdds new affordable housing without Section 8 or vouchersReduces need for shelters and transitional housingSlashes public cost of services for each person in SHARE! Collaborative Housing43434002910840Owners happy to rent:?SHARE! recruits owners from “For Rent” adsMinimum housing requirements:Furnished Single family houseCable TV & high-speed InternetEquipped for immediate middle-class living SHARE! Peer Bridger provides support and resources00Owners happy to rent:?SHARE! recruits owners from “For Rent” adsMinimum housing requirements:Furnished Single family houseCable TV & high-speed InternetEquipped for immediate middle-class living SHARE! Peer Bridger provides support and resources24003005715001?Safe AffordableSupportive Housing For People With Disabilities?00?Safe AffordableSupportive Housing For People With Disabilities?23812502905125Recovery abounds!?26% of mental health consumers get jobs in a year?4% reunited and move to be close to family within two months?70% regularly attend self-help groups, leading to fewer hospitalizations & incarcerations, more mentally stable, empowered, meaningful life00Recovery abounds!?26% of mental health consumers get jobs in a year?4% reunited and move to be close to family within two months?70% regularly attend self-help groups, leading to fewer hospitalizations & incarcerations, more mentally stable, empowered, meaningful life4603756189345Quality assured?SHARE! inspectsHouses serve ethnic, racial, monolingual, LGBT and other diverse populationsSHARE! helps resolve issues at the house?00Quality assured?SHARE! inspectsHouses serve ethnic, racial, monolingual, LGBT and other diverse populationsSHARE! helps resolve issues at the house?4667252905124Move in today!Only two requirements:?1)?SSI or equivalent income2)?Able to live independently???No paperwork required!??Stay as short or as long as you want??No credit or backgrounds checks??Previous evictions OK??Vacancies always available??If this house doesn’t work SHARE! will move you to another house?00Move in today!Only two requirements:?1)?SSI or equivalent income2)?Able to live independently???No paperwork required!??Stay as short or as long as you want??No credit or backgrounds checks??Previous evictions OK??Vacancies always available??If this house doesn’t work SHARE! will move you to another house?34290052260500451485049403000485775046355Everyone Wins!00Everyone Wins!2686050684530003492502780030008572502437130A Cost-Effective Solution to Homelessness00A Cost-Effective Solution to Homelessness3429008152130004343400820928000131445081521300053721008209280005143506845300011430007893050085725011417300017716501256030001485900916940SHARE!CollaborativeHousingCall 1-877-SHARE-4900SHARE!CollaborativeHousingCall 1-877-SHARE-49914400148463000142875013703300068580018846800021717007893050016002006845300038862006845300061766451370330006343650913130002228850170180005600700114173000588645013703300052578001598930005772150171323000594360021132800042862505588000645795062738000617664517132300064008002399030006457950114173000123825798830003429002227580000188468000233680125603000857250427355001828800341630002400300513080001485900113030002686050170180003371850558800046863004635500394335034163000434340034163000606742597028000233680113030004285932101250800320040031305500365760039878000685800170180005715040830500SHARE! Collaborative Housing is Evidence BasedSHARE! Collaborative Housing is an easily replicable, cost-effective program providing affordable, permanent supportive housing to disabled people in single-family houses. People with similar issues, such as vets, mental health consumers, etc. live like college roommates in the house which is fully furnished and equipped. Housing First is a best practiceSHARE! Collaborative Housing moves people into housing within hours of their first phone call for housingUnited States Interagency Council on Homelessness?(USICH) endorses Housing First as a best practiceHomeless mental health consumers and/or substance abusers are able to maintain housing without treatment (Tsemberis 2004)A better neighborhood means a better quality of lifeMoving a person into a better neighborhood has the health equivalent of increasing their income by $12,000 (Ludwig 2012)Moves people out of poverty; neighborhoods zoned for single family use have lower poverty and crime levelsPeople in collaborative housing do not live in areas with drugs, prostitution and crime “Middle-class” lifestyle inspires hope, motivation to changeSocial networks improve outcomesNeighbors who live next to a collaborative house take on supportive role to those in the house (Jason 2005)40 percent of health and mental health wellness is determined by a person having adequate community support (Kindig 2014)Community support is posited to be the reason that people in developing countries recover from schizophrenia at nearly twice the rate that they do in developed countries (WHO 2001)Tangible social support is a major factor in determining whether someone with bipolar disorder is able to work and support themselves. Medication, doctor, symptoms, and whether people took their medication, were not predictors of successful employment (Canadian Health Reports 2004) Social relationships reduce mortality from all causes by 50 percent (Holt-Lunstad 2010)Self-help support groups propel people in recoveryReduce the hospitalization of mental health consumers (Klein 1998; Landers 2011)Cut the rehospitalization of mental health consumers by 50 percent (Edmunson 1982; Galanter 1988; Kennedy 1990; Klein 1998; Kurtz 1988; NDMDA 1999; Raiff 1984)Reduce the number of days mental health consumers spent in the hospital by one third; significantly reduce the amount of medication needed to treat mental health issues (Edmunson 1982; Kennedy 1990; Raiff 1984)Reduce drug and alcohol abuse (Humphreys 2001; Kingree 2000; McAuliffe 1990; Pisani 1993; Watson 1997)Reduce criminal behavior (McAuliffe 1990; Watson 1997)Increase family resources and reduce family stress (Cook 1999) Increase consumer satisfaction (Hodges 2003; NDMDA 1999)Increase social networks which improve outcomes (Holt-Lunstad 2010; Polcin 2010) 70 percent of people in SHARE! Collaborative Housing regularly attend self-help support groupsOutcomes improved with Peer Bridgers—Peer staff, in sustained recovery, who have lived experience with mental health, trauma &/or substance abuseReduce crisis events (Klein 1998; Landers 2011)Improve physical and emotional well-being (Klein 1998)Empower (Rodgers & Teague 2007; Campbell 2003)Increase social network (Brown 2009; Nelson 2006)Employment is more likely26 percent of people with severe mental health issues in SHARE! Collaborative Housing get jobs within one year as shown in the MHSA Housing Trust Fund dashboard People who receive Peer Services are more likely to become employed (Brown 2009; Hodges 2002)House structure supports independenceSelf-governing (Jason 2003; Tsemberis 2003)The absence of professional staff empowers people to develop their own rules and policies, learn to problem solve and assume positions of leadership (Jason 2003)Stay as little or as long as needed Shared housing mimics how Americans start an independent life, e.g. college roommates, moving out from Mom’s and Dad’sTwo people per bedroom increases accountability (Jason & Ferrari 2010; Oxford House 2006) and makes the whole house available to everyone for living Financial self-sufficiency empowers residentsas people live without subsidies, they see that they have the resources they need to pursue a self-sufficient life Increases empowermentIncreases self-esteemStigma bustingNext door neighbors have more favorable attitudes and opinions of people in recovery (Jason 2005)People who know a person with mental health issues have less stigma (Crisp 2005)No NIMBY (Not In My Backyard)SHARE! Collaborative Housing has had no NIMBY experiences in more than 100 houses. The US Supreme Court ruled in City of Edmonds v. Oxford House, Inc. that the Americans with Disabilities Act allows a family of disabled people to live anywhere a single family may liveNo increase in crime in neighborhoods with collaborative housing (Deaner 2009)No decrease in home values (Council of Planning Librarians 1997; Ferrari 2006; American Planning Association 1997) $185,000 to $200,000 is the cost per unit of NIMBY in project-based permanent supportive housing in California (Mayberg 2006)—SHARE! Collaborative Housing has no NIMBY costsSHARE! Collaborative Housing Meets the Needs of ResidentsA 31-year-old homeless white man suffering from delusions and schizophrenia came to SHARE! Downtown. Within hours, SHARE! moved him into a SHARE! Collaborative House, where he is grateful to be able to bathe and eat regularly, wear clean clothes and attend self-help groups. Since he got housed, he has been able to consult with a psychiatrist and take medication that helps with the delusions. When he was on the street, medication made him so drowsy, that he feared for his life. He is happy that he has not gotten into a fight or had his belongings stolen from him in the house. He is now getting his ID card, and developing a budget to better manage the income he receives from Social Security.A 60-year-old Asian woman with mental health and trauma issues contacted SHARE! because she was living in a domestic violence situation. She lived in SHARE! Collaborative Housing for almost two years before she decided to join SHARE!’s Volunteer-to-Job program at SHARE! Culver City. She is now employed full-time making $14 an hour and hopes to move into her own apartment soon. A 52-year-old Latino man with schizophrenia who had been in and out of psychiatric hospitals and been homeless in his car in La Mirada and Pico Rivera, contacted SHARE! after losing his car and sleeping on the streets. The same day he contacted us, SHARE! housed him in SHARE! Collaborative Housing within blocks of where his family lives. He says that he has found the support he needs through SHARE! Collaborative Housing, his Peer Bridger and the self-help support groups SHARE! referred him to—Dual Recovery Anonymous and AA. He now has over a year of sobriety. He loves his house with the friendships and sense of community. He no longer feels isolated and alone.An African-American 30-something bipolar woman moved into SHARE! Collaborative Housing because her mother’s hoarding had become unbearable. She had been sleeping in the living room for years amidst clutter and filth. One of her most traumatic memories was when she had to go to the Emergency Room because a cockroach got stuck in her ear. The ER staff joked, as if she wasn’t there, that they had never seen this before as they removed the insect. Two years after entering SHARE! Collaborative Housing, her life has dramatically improved as she has learned to do things that never happened in her family of origin, such as putting sheets on the bed and sleeping between them, eating fresh food, and having control over her personal space. She attends Adult Children of Alcoholics/Dysfunctional Families, Overeaters Anonymous and other support groups. She has set healthy boundaries with family members, lost 30 pounds, got full-time work and bought a car.A young white schizophrenic woman stopped taking her medication when she became pregnant to protect the baby. SHARE! placed her in a SHARE! Collaborative House for women and children, where the owner took her under her wing. When the baby was born, the County deemed the mother unfit because she was not on medication for her mental health condition. The owner and other residents advocated to take responsibility of the baby until the mom could get stabilized on her meds again and were able to take mom and baby home. Three months after moving into SHARE! Collaborative Housing a white 61-year-old woman with a mental health diagnosis started having major problems getting along with her housemates and was asked to leave. Her Peer Bridger supported her with a crisis plan and connected her to support groups such as Adult Children of Alcoholics and Dysfunctional Families that deal with trauma and conflict. The homeowner gave her the pro-rated refund for her rent which is part of the agreement with SHARE! Collaborative Housing, and with the support of her Peer Bridger, she moved to another SHARE! Collaborative House where she is happier and gets to start fresh with new housemates.BibliographyAmerican Planning Association (1997) Policy Guide on Community Residences Washington, D.C.: American Planning AssociationAubry, T., & Myner, J. (1996). Community integration and quality of life: A comparison of persons with psychiatric disabilities in housing programs and community residents who are neighbors. Canadian Journal of Mental Health, 15(1), 5–20. Bond, G.R. (2001) “Implementing Supported Employment as an Evidenced-Based Practice” Psychiatric Services 52(3):313-322.Brown, L.D. (2008). Understanding how participation in a consumer- run organization relates to recovery. American Journal of Community Psychology, 42(1-2):167-178.Brown, L.D. (2009). How people can benefit from mental health consumer- run organizations. American Journal of Community Psychology, 43 (3-4): 177-188.Campbell, J & Leaver, J. ?(2003) ?Emerging New Practices In Organized Peer Support ?Alexandria, VA: ?National Technical Assistance Center for State Mental Health Planning and the National Association of State Mental HealthProgram Directors.Canadian Health Reports (2004) Bipolar I disorder, social support and work 82-003-SIECouncil of Planning Librarians (1990) There Goes the Neighborhood: A Summary of Studies Addressing the Most Often Expressed Fears About the Effects of Group Homes on Neighborhoods in Which They Are Placed CPL Bibliography No. 259 Cook, J. A. et al (1999)”The Effect of Support Group Participation on Caregiver Burden Among Parents of Adult Offspring with Severe Mental Illness” Family Relations 48:405-410.Crisp, A., Gelder, M, Goddard, E. & Meltzer (2005) “Stigmatization of people with mental illnesses: a follow-up study within the Changing Minds campaign of the Royal College of Psychiatrists” World Psychiatry 4(2): 106–113.Deaner J, Jason LA, Aase D, Mueller D. (2009) “The relationship between neighborhood criminal behavior and recovery homes” Therapeutic Communities 30:89–93.Economic Roundtable (2009) Where we Sleep: Costs when Homeless and Housed in Los Angeles Edmunson, E.D. et al (1982) “Integrating Skill Building and Peer Support in Mental Health Treatment” in Jeger, G. and Slotnick, R.S. (eds) Community Mental Health and Behavioral Ecology New York:Plenum Press pp. 127-139Emrick, C. D. et al (1993) “Alcoholics Anonymous: What is currently known?” in McCrady, B. S. and Miller, W. R. (eds) Research on Alcoholics Anonymous: Opportunities and Alternatives New Brunswick, N.J.: Rutgers Center of Alcohol Studies pp. 41-75.Ferrari JR, Jason LA, Sasser KC, Davis MI, Olson BD. (2006) Creating a home to promote recovery: The physical environments of Oxford House Journal of Prevention and Intervention in the Community 31:27–40. [PubMed: 16595384]Galanter, M. (1988) “Zealous Self-Help Groups as Adjuncts to Psychiatric Treatment: A Study of Recovery, Inc.” American Journal of Psychiatry 145(10):1248-1253.Hodges, J. Q. et al (2003) “Use of Self-Help Services and Consumer Satisfaction with Professional Mental Health Services” Psychiatric Services 54 (8):1161-1163.Hodges, J. Q., & Segal, S. P. (2002). Goal advancement among mental health self- help agency members. Psychiatric Rehabilitation Journal, 26(1):78-85Holt-Lunstad, J., Smith, T. B. & Layton, J. B. (2010) Social Relationships and Mortality Risk: A Meta-analytic Review PLOS Medicine 7 (7): e1000316Humphreys, K. & Moos, R. (2001) “Can encouraging substance abuse patients to participate in self-help groups reduce demand for health care?” Alcoholism: Clinical and Experimental Research 25:711-716.Jason, L. A. & Ferrari, J. R. (2010) “Oxford House Recovery Homes: Characteristics and Effectiveness” Psychological Services 7(2): 92–102Jason LA, Olson BD, Ferrari JR, Layne A, Davis MI, Alvarez J (2003) “A case study of self-governance in a drug abuse recovery home. North American Journal of Psychology 5:1–16Jason LA, Roberts K, Olson BD (2005) Attitudes toward recovery homes and residents: Does proximity make a difference? Journal of Community Psychology 33:529–533Kennedy, M. (1990) Psychiatric Hospitalizations of GROWers. Paper presented at the Second Biennial Conference on Community Research and Action, East Lansing, Michigan.Kindig, D. A. & Isham, G. (2014) Population Health Improvement: A Community Health Business Model that Engages Partners in All Sectors Frontiers of Health Service Management 30(4):1-18.Kingree, J. B. & Thompson, M. (2000) Mutual help Groups, Perceived Status Benefits, and Well-Being: A Test with Adult Children of Alcoholics with Personal Substance Abuse Problems” American Journal of Community Psychology 28:325-342.Klein, A. R., Cnaan, R. A. & Whitecraft, J. (1998) Significance of Peer Social Support With Dually Diagnosed Clients: Findings from a Pilot Study Research on Social Work Practice 8: 529-551.Kurtz. L. F. (1988) “Mutual Aid for Affective Disorders: The Manic Depressive and Depressive Association.” American Journal of Orthopsychiatry 58(1):152-155.Landers, G. M. & Zhou, M. (2011) An Analysis of Relationships Among Peer Support, Psychiatric Hospitalization, and Crisis Stabilization Journal of Community Mental Health 47:106–112Lieberman, M. & Snowden, L. (1994). ?"Problems in Assessing Prevalence and Membership Characteristics of Self-Help Group Participants." ?In Powel, T. (ed) Understanding The Self-Help Organization: ?Frameworks And Findings pp. 32-49. ?Thousand Oaks, CA: Sage Publications.Ludwig J, Duncan GJ, Gennetian LA, et al. (2012) “Neighborhood Effects on the Long-Term Well-Being of Low-Income Adults.” Science 337(6101): 1505–1510Mayberg, S.W. (2006) Address to the California Institute for Mental Health Leadership Institute, Sacramento, CAMcAuliffe, W. E. (1990) “A Randomized Controlled Trial of Recovery and Self-Help for Opiod Addicts in New England and Hong Kong” Journal of Psychoactive Drugs 22(2): 197-209.Mental Health Policy Resource Center (1991)?"The Growing MentalHealth Self-Help Movement." ?Policy In Perspective ?Washington, D.C.:Author.National Depressive and Manic-Depressive Association (1999) National DMDA Support Group Survey: Does Participation in a support group increase treatment compliance? Chicago: DMDANelson, G., & Lomotey, J. (2006). “Quantity and quality of participation and outcomes of participation in mental health consumer- run organizations” Journal of Mental Health 15(1): 63-74Oxford House (2014) Oxford House Manual Silver Spring, MD:Oxford House, Inc.Pisani, V. D. et al (1993) “The Relative Contributions of Medication Adherence and AA Meeting Attendance to Abstinent Outcome for Chronic Alcoholics” Journal of Studies on Alcohol 54:115-119.Polcin, D. L., Korcha, R, Bond, J., & Galloway, G. (2011) “What Did We Learn from Our Study on Sober Living Houses and Where Do We Go from Here?” Journal of Psychoactive Drugs 42(4): 425–433.Powell, T.J. et al (2000) “Encouraging people with mood disorders to attend a self-help group” Journal of Applied Social Psychology 30:2270-2288.Prince, P.N., & Prince, C.R. (2002). Perceived stigma and community integration among clients of Assertive Community Treatment. Psychiatric Rehabilitation Journal, 25, 323–331.Raiff, N.D. (1984) “Some Health Related Outcomes of Self-Help Participation: Recovery, Inc. as a Case Example of a Self-Help Organization in Mental Health” in Gartner, A. and Riessman, F. (eds) The Self-Help Revolution New York: Human Sciences Press pp. 183-193.Roberts, L. J. et al (1999) “Giving and Receiving Help: Interpersonal Transactions in Mutual-Help Meetings and Psychosocial Adjustment of Members” American Journal of Community Psychology 27:841-868. Rodgers, E. S., Teague, B. G. et al. (2007) “Effects of participation in consumer-operated service programs on both personal and organizationally mediated empowerment: Results of multisite study”. Journal of Rehabilitation Research and Development 44(6): 785-800Sisson, R. W. (1981) “The Use of Systematic Encouragement and Community Access Procedures to Increase Attendance at Alcoholic Anonymous and Al-Anon Meetings” American Journal of Drug and Alcohol Abuse 8(3):371-376Snyder, M. D. and Weyer, M.E. (2000) “Collaboration and Partnership: Nursing Education and Self-Help Groups” Nursing Connections 13 (1)SAMHSA (2006) Transforming Housing for People with Psychiatric Disabilities Report samhsa .govTsemberis, S. (2004) “Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals With a Dual Diagnosis” American Journal of Public Health 94(4): 651–656.Tsemberis S. J. Moran L., Shinn M., Asmussen S. M., Shern D. L. (2003) “Consumer preference programs for individuals who are homeless and have psychiatric disabilities: a drop-in center and a supported housing program” American Journal of Community Psychology 32(3-4):305-17.Watson, C. G. et al (1997) “A Comparative Outcome Study of Frequent, Moderate, Occasional, and Non-attenders of Alcoholics Anonymous” Journal of Clinical Psychology 53:209-214.Wong, Y.-L.I., & Solomon, P. (2002). Community integration of persons with psychiatric disabilities in supportive independent housing: Conceptual model and methodological issues. Mental Health Services Research, 4(1), 13–28.The World Health Report (2001) “Schizophrenia” in Mental Health: New Understanding, New Hope. ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download